Breast Augmentation (mammoplasty)

If you are dissatisfied with your breast size, breast augmentation surgery (either breast enhancement or breast enlargement) is a choice to consider. Breast augmentation can:

  • Increase fullness and projection of your breasts
  • Improve the balance of your figure
  • Enhance your self-image and self-confidence

Also known as augmentation mammaplasty, the procedure involves using implants to fulfill your desire for fuller breasts or to restore breast volume lost after weight reduction or pregnancy.

Implants also may be used to reconstruct a breast after mastectomy or injury.

Many patients find it helpful to review breast augmentation before and after photos.


What it won’t do

Breast augmentation does not correct severely drooping breasts. If you want your breasts to look fuller and to be lifted due to sagging, a breast lift may be required in conjunction with breast augmentation.

Breast lifting can often be done at the same time as your augmentation or may require a separate operation. Your plastic surgeon will assist you in making this decision.


Is it right for me?

Breast augmentation is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image. Pictures of breast augmentation procedures performed by ASPS Member Surgeons may help you in the decision-making process.

Breast augmentation may be a good option for you if:

  • You are physically healthy
  • You have realistic expectations
  • Your breasts are fully developed
  • You are bothered by the feeling that your breasts are too small
  • You are dissatisfied with your breasts losing shape and volume after pregnancy, weight loss, or with aging
  • Your breasts vary in size or shape
  • One or both breasts failed to develop normally

What the surgery involves:

Incisions are made in inconspicuous areas to minimize visible scarring. You and your plastic surgeon will discuss which incision options are appropriate for your desired outcome. Incision options include:

Inframammary incision

Transaxillary incision

Periareolar incision

 

Incisions vary based on the type of implant, degree of enlargement desired, your particular anatomy, and patient-surgeon preference.

 

Implant choice: Silicone breast implants or saline breast implants?

Breast size and shape are important, so be honest and open about your expectations when talking with your surgeon.

Implant type and size will be determined not just on your desired increase in size but more importantly on your breast anatomy, skin elasticity and body type.

 

Options for Breast Implants

Saline breast implants are filled with sterile salt water. They can be filled with varying amounts of saline which can affect the shape, firmness and feel of the breast. Should the implant shell leak, a saline breast implant will collapse and the saline will be absorbed and naturally expelled by the body.

Silicone breast implants are filled with an elastic gel. The gel feels and moves much like natural breast tissue. If the implant leaks, the gel may remain within the implant shell, or may escape into the breast implant pocket.

A leaking implant filled with silicone gel may not collapse. If you choose these implants, an ultrasound or MRI screening can assess the condition of breast implants.

Implant manufacturers occasionally introduce new styles and types of implants, so there may be additional options available.

Saline or silicone implants may be recommended at a younger age if used for reconstruction purposes.


Inserting and placing the breast implant

After the incision is made, a breast implant is inserted into a pocket either:

  • Under the pectoral muscle (a submuscular placement), or
  • Directly behind the breast tissue, over the pectoral muscle (a submammary/ subglandular placement)

The method for inserting and positioning implants depends on the type of implant, degree of enlargement desired, your body type, and your surgeon’s recommendations.

Incisions are closed with layered sutures in the breast tissue and with sutures, skin adhesive or surgical tape to close the skin. Over time the incision lines will fade.

The results of breast augmentation surgery are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue to grow as you recover and see the overall result fuller breasts, and a more contoured silhouette.